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首页> 外文期刊>Scientific reports. >Pre-disaster social support is protective for onset of post-disaster depression: Prospective study from the Great East Japan Earthquake & Tsunami
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Pre-disaster social support is protective for onset of post-disaster depression: Prospective study from the Great East Japan Earthquake & Tsunami

机译：灾后社会支持是灾后抑郁症发病的保护：大东日本地震和海啸的前瞻性研究

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摘要

We examined whether pre-disaster social support functions as a disaster preparedness resource to mitigate post-disaster depressive symptoms among older survivors of the 2011 Great East Japan earthquake and tsunami. The participants were 3,567 individuals aged ≥65 years living in Iwanuma city who completed a baseline survey as part of the nationwide Japan Gerontological Evaluation Study seven months before the disaster. A follow-up survey was administered approximately 2.5 years after the disaster. The analysis included a total of 2,293 participants, and social support (giving and receiving emotional & instrumental help) before the disaster was measured using four items. Depressive symptoms were assessed using the GDS with a cut-off score of 4/5 (not depressed/depressed). We discovered that participants who gave and received emotional and instrumental support before the disaster were significantly less likely to develop depressive symptoms after the disaster compared to those without support (ARR?=?0.70; 95% CI: 0.56-0.88). The risk of the onset of depressive symptoms was 1.34 (95% CI: 1.03-1.74) among those who experienced disaster damages but had also given and received social support, and 1.70 (95% CI: 1.03-2.76) among those who experienced damages but lacked support. Strengthening social aid may help cultivate psychological resilience to disasters.
机译：我们审查了灾害预防社会支持是否作为灾害准备资源，以减轻2011年大东日本地震和海啸的较老幸存者之间的灾后抑郁症状。参与者居住在伊武市居住的基线调查的3,567岁≥65岁，作为全国日本灾害前7个月的灾害前7个月的一部分。在灾难发生后大约2.5年次进行后续调查。在使用四项项目测量灾害之前，分析包括共有2,293名参与者，社会支持（给予和接受情绪和乐器帮助）。使用GDS评估抑郁症状，截止截止得分为4/5（不抑制/抑制）。我们发现，与没有支持的人相比，在灾难发生之前，在灾害发生之前，在灾难发生之前，在灾害发生抑郁症状（ARR？= 0.70; 95％CI：0.56-0.88），参加者在灾害发生之前显着不太可能产生抑郁症状的可能性。抑郁症状发作的风险为1.34（95％CI：1.03-1.74），其中经历灾难损失，但也给予并获得社会支持，并获得了1.70（95％CI：1.03-2.76），那些经历了损害但缺乏支持。加强社会援助可能有助于培养灾害的心理恢复力。

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